NPI | 1063640258 |
---|---|
Doing Business As | HENDRICKS ORTHOPEDICS AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
363A00000X Physician Assistant | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2024-06-12 |